LARISSA A MUSGRAVE (NPI# 1528013307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528013307 |
| Entity Type | Individual |
| Full Name | LARISSA A MUSGRAVE |
| Credential | LRD |
| Practice Address |
401 3rd St Se Jamestown ND 58401-4247 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7012535300 |
| Practice Fax Number | 7012535402 |
| Mailing Telephone | 7012535300 |
| Mailing Fax Number | 7012535402 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 626 | ND | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | RR MEDICARE# | P00054456 | 01 |
| ND | MEDICA # | 6300192 | 01 |
| ND | 54497 | 05 | |
| ND | MEDICA | 6300193 | 01 |
| ND | HEALTHPARTNERS # | HP38430 | 01 |
| Street Address |
401 3RD ST SE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336190693 | Dakota Clinic, Ltd. | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-12 |
| 1225292311 | Barbara J Mickelson | Nurse Practitioner | 401 3rd St Se, Jamestown, ND 58401-4247 | 2008-07-17 |
| 1700043528 | Benjamin Felty | Podiatrist | 401 3rd St Se, Jamestown, ND 58401-4247 | 2008-05-20 |
| 1235298928 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-12-08 |
| 1740359884 | Dakota Clinic, Ltd | Dietitian, Registered | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-11-06 |
| 1326057043 | Angel Dawn Overvold | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-08-05 |
| 1326064015 | Anson Li | Surgery | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-07-14 |
| 1598705758 | Myra J Quanrud | Pediatrics | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-06-07 |
| 1316986649 | James R Torrance | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-06-05 |
| 1619915998 | Scott C Rowe | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626225 | Danielle Brooks | Dietitian, Registered | 4389 Choctaw Trl, Jamestown, OH 45335-1401 | 2018-07-24 |
| 1487000311 | Molly Snyder | Dietitian, Registered | 1903 Mcarthur Rd, Jamestown, PA 16134-4925 | 2016-05-10 |
| 1871834986 | Diane S Lachner | Dietitian, Registered | 1 Hillcrest Ave # We, Jamestown, NY 14701-2771 | 2013-03-14 |
| 1962712141 | Carey L Skelton | Dietitian, Registered | 461 Front St, Jamestown, NY 14701-6219 | 2010-10-20 |
| 1437136983 | Marian Spitale | Dietitian, Registered | 75 Jones and Gifford Ave, Jamestown, NY 14701-2828 | 2005-12-27 |
| 1790253433 | Holly Kiehl | Dietitian, Registered | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2018-11-12 |
| 1164959805 | Full-filled Nutrition, LLC | Dietitian, Registered | 1903 Mcarthur Rd, Jamestown, PA 16134-4925 | 2017-05-12 |
| 1104161660 | Alesa Fisher Esh | Dietitian, Registered | 114 N Duncan St, Jamestown, TN 38556-3100 | 2012-12-10 |
| 1497033518 | Tracy Ann White | Dietitian, Registered | 207 Foote Ave, Jamestown, NY 14701-7077 | 2011-07-22 |
| 1568771830 | Brittany Autumn Johnston | Dietitian, Registered | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2010-10-04 |
| Find all providers in JAMESTOWN | ||||
Please comment or provide details below to improve the information on LARISSA A MUSGRAVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.